| Sola Dental, Pllc | |
|
300 S Lamar Blvd Suite N Austin TX 78704-1055 | |
| (512) 983-5605 | |
| Not Available |
| Full Name | Sola Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 300 S Lamar Blvd, Austin, Texas |
| Authorized Official Name and Position | Thomas Charles Gent (SOLE MEMBER) |
| Authorized Official Contact | 5126146800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sola Dental, Pllc 300 S Lamar Blvd Suite N Austin TX 78704-1055 Ph: (512) 983-5605 | Sola Dental, Pllc 300 S Lamar Blvd Suite N Austin TX 78704-1055 Ph: (512) 983-5605 |
| NPI Number | 1366799603 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366799603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24649 (Texas) | Primary |
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